Charleston Digestive Disease, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

20498 Issued in WV

Legal business name

CHARLESTON DIGESTIVE DISEASE, INC.

Practice address

2335 Chesterfield Ave
Suite 103
Charleston, WV 25304-1066

Phone

(304) 552-9037

Fax

(304) 935-4825

NPI assigned

Aug 27, 2013

Last updated

Aug 27, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Olivia Garton, MBA

Title

Billing Manager

Phone

(304) 932-7555

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1295169217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVE",
            "address_2": "SUITE 103",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-552-9037",
            "fax_number": "304-935-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHESTERFIELD AVE",
            "address_2": "SUITE 103",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041066",
            "telephone_number": "304-552-9037",
            "fax_number": "304-935-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON DIGESTIVE DISEASE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "GARTON",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "304-932-7555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "20498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Cardiovascular
• Charleston Chiropractic Company PLLC (Charleston Chiropractic Company)
• Charleston Dental Associates
• Charleston Dermatology PLLC
• Charleston Diabetes & Endocrine Consultants, PLLC
• Charleston Eye Care, PLLC
• Charleston Family Chiropractic
• Charleston Family Health Assoc
• Charleston Family Practice Group
• Charleston Hearing Care, LLC

• Gastroenterology Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Gastroenterology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.